| Major complications associated with femoral nerve catheters for knee arthroplasty: a word of caution. | |
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MedLine Citation:
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PMID: 19553071 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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One thousand one hundred ninety patients underwent knee arthroplasty between January 2004 and July 1, 2007, and received an indwelling continuous infusion femoral catheter for postoperative ropivicaine pump infusion. Catheters were placed using electrical stimulation guidance. For the initial 469 patients (group 1), the continuous infusion ran for 2 to 3 days. In 721 patients, the infusion was discontinued 12 hours after surgery. There were 9 femoral nerve palsies (2 in group 1, 7 in group 2) and 8 major falls (0.7%). The overall complication rate was 1.5%, and the risk of permanent nerve injury was 0.2%. Patients should be made aware of these complications as part of the usual informed consent process before using this technique for postoperative pain control after knee arthroplasty. We did not observe fewer falls when the continuous infusion was stopped 12 hours after surgery. |
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Authors:
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Robert J Feibel; Geoffrey F Dervin; Paul R Kim; Paul E Beaulé |
Publication Detail:
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Type: Journal Article Date: 2009-06-24 |
Journal Detail:
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Title: The Journal of arthroplasty Volume: 24 ISSN: 1532-8406 ISO Abbreviation: J Arthroplasty Publication Date: 2009 Sep |
Date Detail:
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Created Date: 2009-08-24 Completed Date: 2010-01-06 Revised Date: 2010-07-22 |
Medline Journal Info:
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Nlm Unique ID: 8703515 Medline TA: J Arthroplasty Country: United States |
Other Details:
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Languages: eng Pagination: 132-7 Citation Subset: IM |
Affiliation:
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Division of Orthopaedic Surgery, University of Ottawa, Ottawa, Ontario, Canada. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Accidental Falls
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prevention & control Amides / administration & dosage*, therapeutic use Anesthetics, Local / administration & dosage*, therapeutic use Arthroplasty, Replacement, Knee / methods* Catheters, Indwelling / adverse effects* Femoral Nerve / injuries*, physiopathology Humans Infusion Pumps / adverse effects* Pain, Postoperative / prevention & control* Retrospective Studies Risk Factors Time Factors Treatment Outcome |
| Chemical | |
Reg. No./Substance:
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0/Amides; 0/Anesthetics, Local; 84057-95-4/ropivacaine |
| Comments/Corrections | |
Comment In:
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J Arthroplasty. 2010 Aug;25(5):836-7; author reply 837-8
[PMID:
20413248
]
J Arthroplasty. 2010 Aug;25(5):836; author reply 837-8 [PMID: 20381286 ] |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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